Packaging for a sterilizable calibratable medical device

ABSTRACT

The present invention provides a package for and method of packaging a sterilizable calibratable medical device including a hydratable sensor component. The device is maintained in a sterile environment during storage and in a clean environment during the calibration procedure. The package includes a manifold connected to the sensor component by plumbing. The plumbing establishes fluid communication between the manifold and the sensor component and/or between the sensor component and the ambient environment of the plumbing. The manifold, plumbing and medical device are sealed in a wrap including a gas-permeable surface. The wrap and its contents, including the interior surfaces of the components, are sterilizable by exposing the wrap to a gaseous sterilization solution and appropriately adjusting the plumbing. The medical device is hydratable by directing the hydration solution to the sensor component by means of the plumbing. In order to store the package over an extended period of time, a gas-impermeable chamber is defined which includes the ambient environment of the plumbing. The gaseous environment of the medical device is thereby controllable. In this manner, the device is prepared for calibration and is storable in the sterile environment. By connecting a reservoir including calibration solution to the plumbing, the calibration solution is directed to the sensor component without removing the medical device from its clean enviroment. The temperatures of the sensor component and the solution are controlled throughout the calibration process in order to ensure that the device is calibrated in accordance with its intended use. The present invention further discloses a solution for preparing the medical device for use. The solution is chemically compatible with the intended use of the device.

TECHNICAL FIELD

This invention relates to packages for and methods of packagingsterilizable calibratable medical devices and, more particularly,provides a packaging system for in situ sterilization and calibration ofmedical devices consisting of hydratable sensor components.

BACKGROUND OF THE INVENTION

Packages for and methods of packaging medical devices are numerous. Thechoice of method for packaging a device depends in part on the intendeduse of the device. Factors include whether the device is used in asterile environment, whether the device is used in contact with orinserted into a living animal, whether the device is disposable, etc.Certain devices must be sterilized prior to use. One known method forpackaging a sterile device is to first insert the device into agas-impermeable wrap. The interior of the wrap, including the device, isthen sterilized. The wrap is then sealed so that the device remainssterilized until the package is opened just prior to use. Once thepackage is opened, a minimum amount of handling is desirable to avoidthe possibility of contaminating the device.

Certain medical devices additionally require calibration prior to use.Medical devices that monitor analyte levels, temperature, etc., ofteninclude chemical or electrical sensing components that are verysensitive to temperature, moisture, etc. These devices are generallyused in conjunction with monitoring instrumentation that controls andrecords the monitoring process. For example, a medical device may beconnected to a computerized controller which initiates and transmits anelectrical or optical signal to the device, receives a resultant signalfrom the device, and analyzes the resultant signal to produce a valueindicative of the measured characteristic.

One common way of calibrating a medical device used for monitoringanalyte concentrations is to immerse the sensing component of the deviceinto a calibration solution containing a known amount of the targetedanalyte. Base measurement levels are recorded in accordance with theknown amount of the analyte. Such calibration solutions must be highlyuniform to provide consistent and useful results in the calibrationprocess. The solutions are typically unstable and are only prepared asneeded or prepackaged in glass ampules. Glass ampules require especiallycareful handling during the calibration process to avoid breakage.Shelflife problems, e.g., change of chemistry, separation, etc., may beencountered with prepackaged solutions that are stored over a period oftime prior to use. Conventional calibration procedures aretime-consuming, costly, subject the device to possible contamination,and often require the presence of a trained technician to oversee theprocess. Additionally, if a calibratable device is to be stored over aperiod of time, the device is most easily stored in a dry state to avoidproblems arising from the storage of a moist device. Bringing thesensing component of the device from a dry to a functional state oftenrequires hydrating the sensing component over an extended period oftime.

When a device must be sterilized as well as calibrated, additionalproblems arise due to the fact that the sterilization and calibrationprocedures are often incompatible. For example, one common method ofsterilizing a medical device is to expose the device to ethylene oxide(ETO). The ETO procedure is carried out in a non-liquid, i.e., dry,environment. This dry state renders the sensing component of the devicecompletely nonfunctional if the component is meant to operate in a moistenvironment. In contrast, as discussed above, the common method ofcalibrating such a device is to immerse the device in a calibrationsolution. Thus, an ETO sterilization procedure and a moist calibrationprocedure must be distinct phases in the preparation of the device.

In recent years, optical fiber sensors, also known as optrodes, havebeen developed to detect the presence of and to continuously monitor theconcentration of various analytes, including oxygen, carbon dioxide,glucose, inorganic ions, and hydrogen ions, in solutions. An example ofsuch a sensor is a blood gas sensor for monitoring pH, PCO₂ or PO₂. Sucha blood gas sensor is based on the recognized phenomenon that theabsorbance or luminescence of certain indicator molecules isspecifically perturbed in the presence of certain analytes. Theperturbation in the absorbance and/or luminescence profile is detectedby monitoring radiation that is reflected or emitted by the indicatormolecule when it is in the presence of a specific analyte. The targetedanalyte is generally a part of a solution containing a variety ofanalytes.

Optrodes have been developed that position an analyte-sensitiveindicator molecule in the light path at the end of one or more opticalfibers. This fiber unit is often termed the sensor component. The sensorcomponent is an integral part of a blood gas catheter. The indicatormolecule is typically housed in a sealed chamber at the end of thefiber(s). The chamber is secured to the optical fiber by a suitablecement material. The walls of the chamber are permeable to the analyte.The sensor component is inserted into and left in a patient for anextended period of time. Analyte readings in the form of optical signalsare transmitted from the sensor component to monitoring instrumentationwhich analyzes the signals and controls the monitoring process.

The sensor component in a blood gas catheter thus typically includes amembrane material, an analyte sensing material, an optical fiber, and acement. Each element is chosen to be compatible with the other elementsand with the monitoring process. In order to monitor a specific analyte,the sensor component is sterilized and then brought to a functionalstate in which the catheter sensor is responsive to the targetedanalyte. Additionally, the monitoring instrumentation is calibrated inconjunction with the specific catheter prior to use. If the catheter issubject to the above-described ETO sterilization and packaging process,the analyte sensing material of the sensor is completely dried and isnot in proper chemical balance to carry out the monitoring process.Thus, the sensor must be hydrated and calibrated prior to use. If thetraditional calibration method described above is carried out, thecatheter is exposed and may be contaminated.

The package and method of packaging of the present invention overcomesthese and other problems in the prior art.

SUMMARY OF THE INVENTION

The present invention provides a package for a sterilizable calibratablemedical device such that the device is maintained in a clean environmentduring the calibration procedure. The medical device includes ahydratable sensing component. The package includes a wrap enveloping themedical device, first and second reservoirs, and a plumbing device. Thewrap includes a gas-permeable surface. The first reservoir issubstantially filled with a hydration solution which is suitable forhydrating the sensor component. The second reservoir is substantiallyevacuated and is sized to hold all of the liquid solution to be used inthe preparation of the device. The plumbing device is adapted toreversibly establish, without breaching the wrap, either gaseouscommunication between the gas-permeable surface and the sensorcomponent, or liquid communication between the first reservoir, thesensor component, and the second reservoir. In order to sterilize thedevice, plumbing, and the reservoirs, the plumbing device is adapted toestablish gaseous communication between the sensor component and theambient environment of the plumbing device, and the package is exposedto sterilizing gas. The gas passes through the gas-permeable surface andthe plumbing device to the sensor component.

In accordance with other aspects of the present invention, agas-impermeable chamber is defined which includes the ambientenvironment of the plumbing device. In this manner, the gaseouscomposition of the ambient environment of the plumbing device iscontrolled. The chamber may be defined by a bag suitable for envelopingthe wrap.

In accordance with further aspects of the present invention, the packageincludes a delivery device for delivering the hydration solution fromthe first reservoir into the plumbing device. Accordingly, the firstreservoir is rupturable by the delivery means. The first reservoir isruptured and the hydration solution is directed to the sensor componentin order to hydrate the sensor component.

In accordance with additional aspects of the present invention, thesensor component includes at least one optical fiber.

In accordance with still further aspects of the present invention, theplumbing device is adapted to reversibly establish liquid communicationbetween the ambient environment of the package, the sensor component,and the second reservoir. In this manner, calibration solution that isheld in a container exterior to the wrap is directed to the sensorcomponent without removing the medical device from its cleanenvironment, thereby reducing the possibility of contamination.

In accordance with still further aspects of the present invention, thepackage includes a third reservoir substantially filled with acalibration solution suitable for calibrating the sensor. The plumbingdevice is adapted to reversibly establish, without breaching the wrap,liquid communication between the third reservoir, the sensor component,and the second reservoir. The device is attached to monitoringinstrumentation by removing the device cables from the wrap at a pointremote from the sensor component and connecting them to theinstrumentation. In this manner, the device is calibrated withoutremoving the medical device from its clean environment. Additionally,the temperatures of the calibration solution and the sensing componentare controlled throughout the calibration process to ensure that thecalibration measurements are obtained at a temperature substantiallyequivalent to the temperature at the point of use.

The packaging technique of the present invention allows a blood gascatheter to be calibrated immediately prior to use without the need fora blood gas analyzer to obtain a reference value if the blood gasanalyzer values for the calibration solution are well known. Thecalibration technique is practical and allows calibration using aseptichandling that protects the cleanliness of the medical device andminimizes the possibility of contamination of the sensor component.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is an exploded isometric view of a package in accordance with thepresent invention;

FIG. 2 is a top perspective view of a package in accordance with thepresent invention;

FIG. 3 is an exploded isometric view of a solution reservoir inaccordance with the present invention;

FIG. 4 is a top perspective view of a manifold in accordance with thepresent invention;

FIG. 5 is a top perspective view of a package in accordance with thepresent invention with the instrumentation cable of the medical deviceand the calibration tube of the package exposed in order to calibratethe medical device; and,

FIG. 6 is a top perspective view of a medical device sealed in the innerwrap of a package including sterilizable calibration solution reservoirsin accordance with the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

With reference to FIG. 1, one preferred embodiment of package 10includes manifold 12, plumbing 14, inner wrap 16, and outer wrap 18. Themanifold includes deposit reservoir 20, hydration reservoir 22, and flap24. The deposit reservoir 20 and hydration reservoir 22 are connected toa medical device such as catheter 30 by plumbing 14. The plumbing isconnected to the catheter at the sensor component 32 which includes theanalyte sensing components of the catheter. The sensor component mayalso include a temperature measuring component. The sensor component 32is disposed within the plumbing. The catheter also includes one or moreinstrumentation cables 34 which ultimately connect the catheter 30 tothe remainder of the medical monitoring device (not shown). The sensorcomponent extends from the cable 34. At the sensor-cable connectingpoint, a cable flange (not shown) extends radially from the cable.

The plumbing 14 includes hydration tube 40, flush tube 42, calibrationtube 44, delivery device 46, sterilization tubes 48, stopcocks 50a and50b, gas filter 51, and directional valve 52. Preferably, all of thetubing in plumbing 14 is polyvinyl chloride (PVC) tubing. Such tubing iseasy to handle and is slightly gas-permeable over an extended period oftime.

The stopcocks 50 are three-way adjustable valves. The settings of thestopcocks are manually adjustable and are easily manipulated through thepackaging materials. The stopcocks are used to control the flow ofsolution through the plumbing. Caps 53a and 53b overlay the stopcocks inorder to protect the packaging material from damage caused byprotrusions on the stopcocks.

Hydration tube 40 is in full communication with hydration reservoir 22,a sterilization tube 48, and stopcock 50a. Flush tube 42 is in fullcommunication with the deposit reservoir 20, a sterilization tube 48,and directional valve 52. Directional valve 52 allows solution to flowthrough flush tube 42 into the deposit reservoir and prevents solutionflow in the opposite direction. Calibration tube 44 is in fullcommunication with filter 54 and stopcock 50a. Filter 54 is preferably ahydrophobic filter through which gaseous solutions freely pass and whichprevents the passage of liquid solutions.

Delivery device 46 includes catheter tube 57, joint 58 and connect tube59. One end of catheter tube 57 is connected to stopcock 50a. The otherend of the catheter tube is connected to joint 58. Joint 58 connectscatheter tube 57, connect tube 59 and cable 34. The connect tube isconnected to stopcock 50b. The joint provides fluid communicationbetween the catheter tube and the connect tube. Delivery device 46 ispreferably used to deliver the sensor component to the patient, i.e.,the delivery device is an integral component of the blood gas catheter.Thus, the materials used for delivery device 46 are compatible with thepackaging procedure as well as with the blood gas monitoring procedure.

The sensor component extends from cable 34, through joint 58 and intocatheter tube 57. The joint includes a ring seal (not shown) throughwhich the sensor component extends and against which the cable flange ispressed. The ring seal and flange prevent the flow of solution from thejoint to the cable. The position of the cable and sensor componentrelative to the joint is fixed by a suitable attachment mechanism suchas a nut screwed over the joint and against the flange. In this manner,any fluid flowing between stopcock 50a and 50b passes over the sensorcomponent.

Stopcock 50b is connected to filter 51 and directional valve 52. Filter51 is preferably a hydrophobic filter through which gaseous solutionsfreely pass and which prevents the passage of liquid solutions.

The plumbing establishes gaseous communication between the sensingcomponent and the plumbing ambient environment by means of sterilizationtubes 48, filter 51, and filter 54. The plumbing also establishes liquidcommunication between the manifold reservoirs and the sensor componentby hydration tube 40, delivery device 46, and flush tube 42.

Inner wrap 16 includes sides 60a and 60b. Side 60a includes filter 61along one edge. The filter 61 is preferably a bacterial retentivehydrophobic filter. An exemplary filter 61 is a fibrous paper-likemembrane manufactured by E. I. DuPont de Nemours & Co. and referred toby the trademark TYVEK. The filter allows gas exchange between theinterior and exterior of inner wrap 16 when the wrap is otherwise sealedin a gas-impermeable manner. The remainder of the material of side 60ais preferably clear so that the packaging is easily viewabletherethrough. The material is also relatively thin and flexible so thatthe adjustments to the packaging, e.g., the stopcocks, are easilycarried out through the wrap.

During the packaging process, catheter 30 is sterilized dry, and thenhydrated and prepared for calibration. With reference to FIG. 2,hydration reservoir 22 and deposit reservoir 20 are connected tocatheter 30 at sensor component 32 by plumbing 14. These components areplaced between the sides 60a and 60b of inner wrap 16 and the outsideedges of the inner wrap are completely sealed by edge seals 55. Flap 24of the manifold is caught between the edge seals to secure the positionof manifold 12 within inner wrap 16. Additionally, seal 56 preferablysecures the position of catheter 30 within the inner wrap by securingthe gathered cable 34. The manifold 12 and catheter 30 are positionedwithin the inner wrap so that plumbing 14 is and remains untangledrelative to the catheter, and so that access to filter 61 is notblocked. Once the inner wrap edges are sealed, filter 61 is the onlymeans of gaseous communication between the interior and the exterior ofthe wrap.

Prior to the sterilization process, stopcocks 50 are open so that thelumens of the hydration tube, calibration tube, catheter tube, connecttube, and flush tube are all in fluid communication. In order tosterilize the catheter, sealed inner wrap 16 functions as a breatherbag. The wrap is simply a gas-permeable container which acts to keep thegaseous environment within it free from bacteria and germs. Asterilizing gaseous solution, preferably ethylene oxide (ETO), is pumpedinto inner wrap 16 through filter 61. This is performed by pressurizingthe atmosphere surrounding inner wrap 16. The ETO flows freely overcatheter 30, plumbing 14 and manifold 12. Additionally, the ETO flowsinto plumbing 14 through sterilization tubes 48, filter 51, and filter54. In this manner, sensor component 32 and the interior surfaces of theplumbing and the manifold are sterilized. After sterilization, the ETOis outgassed from inner wrap 16 by allowing the inner wrap to stand andthe ETO to dissipate in a controlled environment.

Preferably, all surfaces and passageways of manifold 12, plumbing 14,and catheter 30 are sterilized during the ETO procedure. Certain jointsand attachments in plumbing 14 may be so tight that they are essentiallyETO impermeable and therefore hinder or restrict access of ETO. Thesejoints and attachments are loosened prior to the sterilization procedureand are tightened immediately thereafter.

After sterilization, sterilization tubes 48 are sealed with seals 62(shown in reference). Preferably, tubes 48 are sealed by a radiofrequency (RF) sealing technique. This technique affects a heat sealwithout affecting the integrity of inner wrap 16. After seals 62 are inplace, the only points of entry remaining in plumbing 14 are throughmanifold 12 via hydration tube 40 and flush tube 42, filter 51, orthrough filter 54. Alternatively, sterilization tubes 48 include filters64 (shown in reference). Filters 64 are preferably hydrophobic filterswhich allow gaseous solutions to pass freely through, but liquidsolutions, such as the hydration solution, are not allowed to passthrough. If such filters are used, the sterilization tubes 48 do notrequire sealing after the sterilization process.

During the foregoing ETO sterilization procedure, the surfaces exposedto the ETO are completely dried. Thus, sensor component 32 is renderednonfunctional since it operates in a moist environment. Sensor component32 must be hydrated after sterilization and prior to use. Manifold 12and plumbing 14 are used to hydrate the sensor component withoutremoving it from its sterile environment within inner wrap 16.

In order to hydrate sensor component 32 within the sterile environmentof inner wrap 16, a hydration solution is included within the innerwrap. The hydration solution is held and protected throughout thesterilization procedure in hydration reservoir 22. After sterilization,the hydration solution is released from hydration reservoir 22. Manifold12, in conjunction with plumbing 14, delivers the hydration solution tosensor component 32 which is the portion of catheter 30 which requireshydration to be functional. The remainder of the catheter is maintainedin a dry state.

With reference to FIG. 3, one preferred hydration reservoir 22 includesrupture plate 68, container 70, and outer envelope 72. Container 70 issuitable for holding a liquid such as a hydration solution orcalibration solution. Container 70 protects the solution from contactwith the ETO which is highly toxic. The container material isimpermeable to ETO and is capable of withstanding the pressure andtemperature changes that occur during a standard ETO sterilizationprocess. In this manner, the solution is maintained in a sterile andnonpyrogenic state. Additionally, the container material is rupturableby mechanical pressure as will be discussed below. One suitable materialfor container 70 is foil-polypropylene laminated film.

Rupture plate 68 is preferably made up of a relatively rigid material.The plate is flat and corresponds in surface area to the surface ofcontainer 70. The rupture plate includes point 74 which, under adequatemechanical pressure, turns downwardly towards container 70 to rupturethe container. The rupturing position is shown in reference.

With reference to FIG. 4, outer envelope 72 is formed about container 70and rupture plate 68 so that there is adequate room within the envelopefor the solution to flow from the container into the envelope and tohydration tube 40. Envelope 72 and deposit reservoir 20 are preferablymade from two pieces of material that are connected by seals 73 (shownin reference) so that deposit reservoir 20, envelope 72, and flap 24 areformed. Container 70 is configured so that the container does not blockthe hydration tube when sealed within envelope 72. Flat edges 77 alongthe perimeter of container 77 aid in this positioning. Hydration tube 40and flush tube 42 are sealed in communicating relationship with theinterior of envelope 72 and the interior of deposit reservoir 20,respectively.

Referring again to FIG. 2, in order to hydrate sensor component 32,stopcock 50a is adjusted so that the fluid path betwen hydration tube 40and catheter tube 57 is open. Stopcock 50b is adjusted so that the fluidpath between connect tube 59 and valve 52 is open. Container 70 isruptured as discussed above. The contents of the container are forcedinto envelope 72 by applying uniform pressure to rupture plate 68against the container. The hydration solution flows through envelope 72and hydration tube 40 to delivery device 46. Once the delivery device isfilled with hydration solution, stopcocks 50a and 50b are adjusted inorder to close off the delivery device thereby securing the solutionover sensor component 32. The solution is held there in order toadequately hydrate the sensor component. Preferably, some of thehydration solution is held in the delivery device during the storageperiod, i.e., until calibration takes place. In this manner, sensorcomponent 32 is held in a hydrated state during the storage period.

Preferably, the hydration fluid contains a chemical composition the sameor very close to the composition contained in the initial calibrationsolution to be used with the device. Each solution content is highlysensor specific. The hydration solution may be formulated to also act asa calibration solution and be used to establish a first calibrationpoint of the sensor component, e.g., by equilibrating thehydration-calibration solution with gases at levels appropriate forcalibration of the specific analyte sensor in sensor component 32.

After sensor hydration has taken place, catheter 30 is preferablyincubated to aid in returning the catheter to a functional state, and tostabilize the sensor component chemistry. Sensor component 32 isincubated in the hydration solution that is held within catheter tube57. To ensure the chemical balance of the solution is held constant, thepackage itself is incubated in a gas controlled environment. Inner wrap16 is placed in a gas-impermeable container and flushed with a gaseoussolution. The gaseous solution in which the inner wrapper and contentsare incubated has chemical characteristics that are essentially the sameas those of the dissolved gases in the hydration solution. The gaseoussolution is also pre-equilibrated with water, i.e., the solution ishydrated. This characteristic of the gaseous solution prevents thesolution from drawing the water off of the hydration solution heldwithin delivery device 46. The gaseous solution passes through filter 61into the interior of the inner wrap. Because of this controlledenvironment external to plumbing 14, no change in the chemicalcomposition of the hydration solution will be affected due to the slightgas-permeability of delivery device 46. The dissolved gases in thehydration solution are thus maintained at the desired level. The timeperiod, temperature, and gaseous composition for incubation are highlydependent on the sensor component elements and intended use.

For storage purposes, the gas-permeable portions of inner wrap 16 aresealed off. Preferably, the wrap is placed within outer wrap 18. Theouter wrap is gas-impermeable and acts to seal the inner wrapgas-permeable sections including filter 61. Outer wrap 18 creates aconstant gaseous environment surrounding catheter tube 57 and sensorcomponent 32. A gaseous solution is pumped into the outer wrap andpasses into inner wrap 16 through filter 61. The gaseous solutionpreferably has similar chemical characteristics to the incubationsolution and the hydration solution. Again, the controlled environmentensures that the composition of gases dissolved in the hydrationsolution will not be altered by gaseous exchange through the deliverydevice. In this manner, the chemical composition of the hydrationsolution in the delivery device is maintained at a constant levelthroughout the storage period. Prior to use, depending upon the specificsensor component, it may be preferable to again incubate the entirepackage to further enhance the response of the sensor component.

With reference to FIG. 5, calibration tube 44 and cable 34 are removedfrom both inner wrap 16 and outer wrap 18 at a point remote from thesensor component 32. The cables are connected to monitoringinstrumentation (not shown). In this manner, the readings obtained bythe catheter 30 are transmitted to the monitoring instrumentation.

Preferably, calibration tube 44 is small-bore tubing that has a smallvolume. This configuration reduces the amount of fluid that must bedisplaced when one or more calibration solutions are introduced into theplumbing.

To calibrate the device, two calibration solutions are typically used.Each solution contains a predetermined concentration of the targetedanalyte. Filter 54 is removed from calibration tube 44 and an injectiondevice (not shown) is attached thereto. A container of calibrationsolution is attached to the injection device. The injection devicepreferably includes a stopcock. The calibration solution passes from thecontainer through calibration tube 44 and stopcock 50a to catheter tube57 and connect tube 59. Stopcock 50b is set so that the solution flowsthrough the stopcock to deposit reservoir 20 until enough solution fromthe delivery device 46 has been displaced to ensure that all of thesolution held within the delivery device is the first calibrationsolution. At that point, the stopcock on the injection device is closedto hold the calibration solution within the delivery device.

Preferably, the temperatures of the calibration solution and sensorcomponent are controlled throughout the calibration process. Thetemperatures are brought to and maintained at a temperaturesubstantially equivalent to the temperature of the point of use of thesensor component, e.g., body temperature for a blood gas catheter. Thiscontrol ensures that the calibration measurements taken are accurate.The temperature of the calibration solution is adjusted while thesolution is in the container prior to delivery to the sensor component.The temperature of the wrap and its contents is adjusted by insertingthe wrap between the sides of a thermal blanket. The wrap remainsenveloped by the thermal blanket throughout the calibration procedure.In this manner, the sensor component is maintained in its cleanenvironment during the calibration procedure. If the sensor componentincludes a temperature sensing component, the temperature sensingcomponent is utilized to provide component temperature information.

Once the calibration solution is delivered to the delivery device andthe temperature of the sensing component stabilized, analytemeasurements are taken via cables 34. Once the measurements are taken,the injection device stopcock is opened and a second solution istransmitted to delivery device 46 in a similar manner. As an alternativemethod of retaining the hydration solution within the delivery device,stopcocks 50a and 50b are closed to hold the solution therebetween whilethe calibration measurements are taken.

Once calibration is completed, a parenteral grade saline solution isflushed through the plumbing to wash out any remaining calibrationsolution. The solution is introduced to the plumbing through calibrationtube 44. The catheter is then removed from the package by disconnectingthe delivery device from the remainder of the plumbing. The joints atstopcocks 50a and 50b are disconnected and delivery device 46 and sensorcomponent 32 are removed as a unit. The remainder of the package isdisposed of.

Since all solutions are flushed into deposit reservoir 20, the reservoiris sized so that its capacity is equal to or greater than the totalvolume of all of the hydration, calibration, and cleaning solutions tobe used to prepare the catheter for use.

With reference to FIG. 6, a preferred package embodiment 82 is similarto package 10, but includes calibration reservoirs 84a and 84b, eachcontaining a separate calibration solution, as well as reservoir 85containing a hydration solution. (Similar components between packages 82and 10 will be referred to with the same reference numbers.) Thecalibration reservoirs are similar to reservoir 22 of package 10. Eachreservoir includes a rupture plate 86, a container (not shown), and anenvelope 90. The plumbing 92 includes calibration tubes 98a and 98b,sterilization tubes 100a and 100b, and passage tube 102. The calibrationtubes are connected to the calibration reservoirs along the seals ofenvelopes 90a and 90b. The calibration tubes are connected to passagetube 102 which is connected to stopcock 104. Stopcock 104 is similar tostopcock 50a. The remainder of plumbing 92 is similar to plumbing 14.The package also includes deposit reservoir 109 sized so as to receiveall of the hydration and calibration solutions and any cleaningsolutions to be used.

To prepare catheter 30 for use, an ETO sterilization procedure asdescribed above is carried out. Sensor component 32 is then hydrated andincubated. Inner wrap 16 is packaged in outer wrap 18 for storagepurposes. Prior to use, cables 34 are removed from the inner and outerwraps and connected to monitoring instrumentation. Calibration reservoir84a, including the first calibration solution, is ruptured and thesolution directed into delivery device 46. The stopcocks are adjusted tohold the solution in the delivery device. The temperature of the sensorcomponent is controlled as described above. Calibration measurements aretaken when the temperature of the sensor component is stabilized andcorrect. Once the first calibration measurement is completed,calibration reservoir 84b, including the second calibration solution, isruptured and the solution directed into the delivery device. Thetemperature of the sensor component is again stabilized and corrected.The second calibration point is then established and the catheter isready for use.

In each of the above-described embodiments, the sensor component may bebrought to first calibration point conditions by utilizing aspecifically equilibrated hydration solution. The hydration solution isequilibrated with a gaseous composition equivalent to that used tocreate the first calibration solution. When the first calibration pointconditions are achieved in this manner, only one calibration solution,that corresponding to the second calibration point conditions, need beintroduced to the sensor component during calibration. This reduces thesteps required to prepare the catheter for use. Similarly, if thepackage is for a medical device that requires the setting of only asingle calibration point, then a properly equilibrated hydrationsolution is the only solution necessary to prepare the device for use.In such an instance, the plumbing need not include a calibration sectionfor delivering calibration solution to the sensor component. To utilizesuch a device, the instrumentation cables are removed from the packagingand connected to monitoring instrumentation. The sensor component isalready immersed in the hydration solution that acts as the calibrationsolution. Calibration measurements are immediately taken and the deviceis then ready for use.

As an example of the relationships between the various solutions and thesensor component, if a blood gas catheter were to be used to measure pH,PO₂ and PCO₂, the buffer formulations for the calibration solutionswould be selected to control the relationship between pH and PCO₂.Calibration solutions are characterized by their differing PCO₂ levels.

The following solution is a specific example of a solution that issuitable for use with the above-described catheter:

0.916 grams/liter potassium phosphate;

3.007 grams/liter sodium phosphate;

6.136 grams/liter sodium chloride; and

1.848 grams/liter sodium bicarbonate.

The solution is a bicarbonate-phosphate buffer which contains 105 mMsodium chloride which is the sodium chloride level that is substantiallyequivalent to that found in blood. The solution is adjusted with carbondioxide gas and compressed air, or the equivalent oxygen/nitrogenmixture, to form the hydration and calibration solutions.

It has been found that the inclusion of sodium chloride in thepreparation solutions is useful to reduce perturbations in the measuringprocess that are caused by the existence of predominate ions other thanthe targeted analyte(s) in the solution being monitored. In blood,sodium chloride is a predominate ionic compound that is not monitored bythe blood gas catheter of the example. If the preparation solutions inwhich the sensor component is hydrated and calibrated do not contain thechloride component, an ionic gradient is created across the sensorcomponent membrane when the sensor component is actually used in blood.This gradient effects the subsequent monitoring information receivedfrom the sensor component.

A suitable time and temperature for incubation of such a PCO₂, PO₂ andpH sensor has been found to be at least 7 days at a temperature ofapproximately 20° C. This incubation is adequate to bring the sensorcomponent of the catheter to calibration conditions reflected in theamount and type of chemicals included in the gaseous mixture. Prior touse, it is preferable to again incubate the entire package forapproximately 7 days at a temperature substantially equivalent to thetemperature at the point of use. For an in situ blood gas catheter, thetemperature range for the second incubation is 37° to 40° C. The secondincubation has been found to improve the pH response time of thecatheter. The catheter is then in a state for final calibration and use.

While preferred embodiments of the invention have been illustrated anddescribed, it will be appreciated that various changes can be madeherein without departing from the spirit and scope of the invention.Other methods and devices for holding and delivering the solutions inthe manifold are available. For example, the solutions could be helddirectly in the envelopes and the plumbing means could include stopcocksfor controlling the flow of the solutions from the envelopes into theplumbing means. Additionally, directional valves or other fittings aresuitable for use in place of the stopcocks.

Many of the specific characteristics of the preferred embodiments dependupon material compatibility and the specific sensor component of thepackaged device. For example, if a strong gas-impermeable clear materialthrough which the stopcocks are adjustable is available and compatiblewith the procedures, this material is suitable for forming inner wrap16. If this inner wrap is gas-impermeable, with the exception of filler61, then the device is storable over an extended period of time withoutthe outer wrap once the gas-permeable portions of the inner wrap aresomehow sealed. This is also the case if the sensor component is held ina gas-impermeable plumbing section. The process of creating a constantgaseous environment about the plumbing for storage and incubationpurposes is not necessary if the delivery device itself isgas-impermeable.

Other means for sealing off filter 61 during storage are available. Thefilter is covered with a seal patch, or the wrap portion including thefilter is separated from the remainder of the wrap by a seal through thesides 60a and 60b of the inner wrap. In an alternative configuration,one or both sides 60a and 60b of inner wrap 16 are made of TYVEKmembrane, or other suitable gas-permeable material, to increase the gasexchange rate through the inner wrap. In these embodiments, agas-impermeable chamber is formed within which the gaseous environmentabout the plumbing is held during storage. The chamber may be formed bymeans of an outer wrap as described above.

Further, if a suitable ring and seal material are used, calibration tube44 may be positioned outside of the package. In one embodiment, thecalibration solution is then delivered through the calibration tubewithout breaching the wrap. Similarly, if the cables of the medicaldevice are connectible to the monitoring instrumentation withoutbreaching the wrap, the device is maintained in a sterile environmentduring the calibration procedure.

Finally, it is to be understood that the package and method of packagingof the present invention are not limited to blood gas catheters. Theconfiguration of the sensor component of a specific device may dictatealternative configurations for the packaging.

The embodiments of the invention in which an exclusive property orprivilege is claimed are defined as follows:
 1. A package for a medicaldevice, comprising:a wrap enveloping a medical device, first and secondreservoirs, and plumbing means, said wrap comprising a gas-permeablesurface, said medical device comprising a hydratable sensor component,said first reservoir being substantially filled with a hydrationsolution suitable for hydrating said sensor component, said secondreservoir being substantially evacuated, and said plumbing means beingadapted to reversibly establish, without breaching said wrap, eithergaseous communication between said gas-permeable surface and said sensorcomponent or liquid communication between said first reservoir, saidsensor component, and said second reservoir.
 2. A package according toclaim 1, further comprising means for defining a gas-impermeable chambercomprising the ambient environment of said plumbing means within saidwrap.
 3. A package according to claim 2, wherein said means for defininga gas-impermeable chamber comprises a bag enveloping said wrap.
 4. Apackage according to claim 1, further comprising means for deliveringsaid hydration solution from said first reservoir into said plumbingmeans.
 5. A package according to claim 4, wherein said first reservoiris rupturable by said delivery means.
 6. A package according to claim 1,wherein said sensor component comprises at least one optical fiber.
 7. Apackage according to claim 1, wherein said plumbing means is adapted toreversibly establish fluid communication between the ambient environmentof the package, said sensor component, and said second reservoir.
 8. Apackage according to claim 7, wherein said plumbing means establishesfluid communication between the ambient environment of the package, thesensor component, and said second reservoir by breaching said wrap at apoint remote from said sensor component, whereby said sensor componentis maintained in a clean environment during the calibration procedure.9. A package according to claim 1, further comprising a third reservoirsubstantially filled with a calibration solution suitable forcalibrating said sensor component, wherein said plumbing means isadapted to reversibly establish, without breaching said wrap, liquidcommunication between said third reservoir, said sensor component, andsaid second reservoir.